Pub Date : 2025-07-09DOI: 10.1016/j.surge.2025.04.013
Philip D. McEntee , Joseph E. Greevy , Frédéric Triponez , Marco S. Demarchi , Ronan A. Cahill
{"title":"Interpretation of Indocyanine Green Fluorescence Angiography for Parathyroid Gland Evaluation: A Simple Machine Learning Method","authors":"Philip D. McEntee , Joseph E. Greevy , Frédéric Triponez , Marco S. Demarchi , Ronan A. Cahill","doi":"10.1016/j.surge.2025.04.013","DOIUrl":"10.1016/j.surge.2025.04.013","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 256"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1016/j.surge.2025.04.007
Patrick A. Boland , Ashokkumar Singaravelu , Philip D. McEntee , Alice Moynihan , Ronan A. Cahill
{"title":"Intratumoural variability of fluorescent signals may accurately classify rectal neoplasia","authors":"Patrick A. Boland , Ashokkumar Singaravelu , Philip D. McEntee , Alice Moynihan , Ronan A. Cahill","doi":"10.1016/j.surge.2025.04.007","DOIUrl":"10.1016/j.surge.2025.04.007","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 254"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peri-operative thromboprophylaxis in patients undergoing bariatric surgery: a prospective pilot study to evaluate anti-Xa levels using our current dosing regimen of enoxaparin","authors":"Czara Kennedy , Therese McCarthy , Odhrán Ryan , Donal O’Shea , Karen Murphy , Waqas Butt , Naomi Fearon , Helen Heneghan","doi":"10.1016/j.surge.2025.04.011","DOIUrl":"10.1016/j.surge.2025.04.011","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 255"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1016/S1479-666X(25)00118-0
{"title":"List of editors","authors":"","doi":"10.1016/S1479-666X(25)00118-0","DOIUrl":"10.1016/S1479-666X(25)00118-0","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page i"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1016/j.surge.2025.04.008
Gavin P. Dowling , Gordon R. Daly , Sandra Hembrecht , Sorcha O'Grady , Aisling Hegarty , Trudi Roche , Gerard Hill , Gabriel Orsi , Oisin Brennan , Jan Sorenson , Colm Power , David Kearney , Abeeda Butt , Michael Boland , Ishwarya Balasubramanian , Andrew Maguire , Niamh McCawley , Deborah McNamara , John Burke , William Robb , Arnold D.K. Hill
{"title":"Laparoscopic-assisted Transversus Abdominis Plane Block versus Port-site Infiltration in Appendectomy: A Multicentre, Single-blinded Randomised Controlled Trial","authors":"Gavin P. Dowling , Gordon R. Daly , Sandra Hembrecht , Sorcha O'Grady , Aisling Hegarty , Trudi Roche , Gerard Hill , Gabriel Orsi , Oisin Brennan , Jan Sorenson , Colm Power , David Kearney , Abeeda Butt , Michael Boland , Ishwarya Balasubramanian , Andrew Maguire , Niamh McCawley , Deborah McNamara , John Burke , William Robb , Arnold D.K. Hill","doi":"10.1016/j.surge.2025.04.008","DOIUrl":"10.1016/j.surge.2025.04.008","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 254"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1016/j.surge.2025.04.012
James Connor , John O’Kelly , Steven Anderson , Ailish Naughton , David Galvin , Kieran Breen , Diarmaid Moran , Mark Quinlan , Barry McGuire , Niall Davis
{"title":"Early ureteroscopy and laser lithotripsy in the management of obstructing urolithiasis with associated urosepsis – A prospective multi-institutional study","authors":"James Connor , John O’Kelly , Steven Anderson , Ailish Naughton , David Galvin , Kieran Breen , Diarmaid Moran , Mark Quinlan , Barry McGuire , Niall Davis","doi":"10.1016/j.surge.2025.04.012","DOIUrl":"10.1016/j.surge.2025.04.012","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 255"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1016/j.surge.2025.04.014
I. Marinescu , E. Phoenix , E. Geary , D. Mclaughlin , C. Morrison , R. Dolan
{"title":"The MISHAP Trial: Managing Injuries - a Study of Hand Appearance and Psychosocial Dysfunction","authors":"I. Marinescu , E. Phoenix , E. Geary , D. Mclaughlin , C. Morrison , R. Dolan","doi":"10.1016/j.surge.2025.04.014","DOIUrl":"10.1016/j.surge.2025.04.014","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 4","pages":"Page 256"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144578851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-08DOI: 10.1016/j.surge.2025.07.001
Dilek Soylu , Adem Doğaner
Purpose
Organ donation is influenced by culture, religion, death rituals, and the perceived needs of the body after death. This study examined the moderating role of death anxiety in the effect of self-confidence and life satisfaction on attitudes to organ donation.
Methods
This study was descriptive, cross-sectional, and relationship-seeking. The study was conducted with a total of 247 nursing students between January and February 2024. Moderator effect was used, using the Death Anxiety Scale. In the data collection, a Personal Information Form, the Organ Donation Attitude Scale, Life Satisfaction Scale, Self-Confidence Scale were used.
Results
Death Anxiety Scale was determined to have a significant moderating effect on the Organ Donation Attitude Scale (β = 0.0452, p < 0.001) and there was seen to be a moderating role of Death Anxiety Scale on the effect of Life Satisfaction Scale on Organ Donation Attitude Scale (β = 0.1586, p = 0.033).
Conclusions
There was determined to be a moderating role of Death Anxiety Scale in the effect of Self-Confidence Scale and Life Satisfaction Scale on Organ Donation Attitude Scale.
{"title":"The effect of self-confidence, life satisfaction and death anxiety on organ donation in student nurses: Moderator effect","authors":"Dilek Soylu , Adem Doğaner","doi":"10.1016/j.surge.2025.07.001","DOIUrl":"10.1016/j.surge.2025.07.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Organ donation is influenced by culture, religion, death rituals, and the perceived needs of the body after death. This study examined the moderating role of death anxiety in the effect of self-confidence and life satisfaction on attitudes to organ donation.</div></div><div><h3>Methods</h3><div>This study was descriptive, cross-sectional, and relationship-seeking. The study was conducted with a total of 247 nursing students between January and February 2024. Moderator effect was used, using the Death Anxiety Scale. In the data collection, a Personal Information Form, the Organ Donation Attitude Scale, Life Satisfaction Scale, Self-Confidence Scale were used.</div></div><div><h3>Results</h3><div>Death Anxiety Scale was determined to have a significant moderating effect on the Organ Donation Attitude Scale (β = 0.0452, p < 0.001) and there was seen to be a moderating role of Death Anxiety Scale on the effect of Life Satisfaction Scale on Organ Donation Attitude Scale (β = 0.1586, p = 0.033).</div></div><div><h3>Conclusions</h3><div>There was determined to be a moderating role of Death Anxiety Scale in the effect of Self-Confidence Scale and Life Satisfaction Scale on Organ Donation Attitude Scale.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 288-295"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-08DOI: 10.1016/j.surge.2025.06.004
John David Kehoe, Robert O'Connell, Eimear Linehan, Niall Hardy, Ben Creavin, Tamara Gall, Gerry McEntee, John Conneely
Introduction
A selection of international guidelines suggest that emergency cholecystectomy within 72 h of admission is the treatment of choice for acute cholecystitis. The aim of this study was to analyse the interval from presentation to operative intervention for acute cholecystitis in Ireland and its impact on peri-operative outcomes.
Methods
This was a national retrospective observational study of all patients that underwent an emergency cholecystectomy for acute cholecystitis in Ireland between January 2017 and July 2023. Data collected included: demographics, co-morbidities, length of stay, operative approach, post-operative interventions, in-patient mortality, and readmissions. Subjects were stratified based on time from presentation to theatre and outcomes were compared between groups.
Results
3585 patients underwent an emergency cholecystectomy for acute cholecystitis–2005(55.9 %) within 72 h of admission, 1072(29.9 %) within 72 hours-7 days, 416(11.6 %) within 8–14 days and 92(2.6 %) beyond 14 days. Earlier progression to theatre was predicted by female sex (X2(3) = 10.402,p = 0.015), less co-morbidities (X2(12) = 95.723,p=<0.001), and younger age (H(3) = 92.591,p=<0.001).
On logistic regression, age >65(OR 1.565,p < 0.001), male sex(OR 1.348,p = 0.002), increasing co-morbidities(OR 1.586,p = 0.009) and increased “time to theatre”(72hrs-7days(OR 1.616,p < 0.001), 8–14days(OR 3.84,p < 0.001), >14days(OR 5.929,p < 0.001)) were risk factors for a composite of adverse outcomes (mortality, 30-day readmission, post-operative ERCP/IR drain, conversion to open, CBD injury). Subgroup analysis of the <72 h group displayed no difference in outcome.
Conclusion
Despite international guidance, just over half of emergency cholecystectomies for acute cholecystitis are performed within 72 h in Ireland. Prolonging “time to theatre” is associated with a stepwise deterioration in outcomes across a wide variety of measures.
引言：一些国际指南建议在入院后72小时内进行急诊胆囊切除术是急性胆囊炎的首选治疗方法。本研究的目的是分析爱尔兰急性胆囊炎从出现到手术干预的时间间隔及其对围手术期结果的影响。方法：这是一项全国性的回顾性观察研究，纳入了2017年1月至2023年7月在爱尔兰因急性胆囊炎接受紧急胆囊切除术的所有患者。收集的数据包括：人口统计学、合并症、住院时间、手术方式、术后干预、住院死亡率和再入院率。根据从演讲到剧院的时间对受试者进行分层，并比较各组之间的结果。结果：3585例急性胆囊炎患者行急诊胆囊切除术，其中入院72小时内2005例（55.9%），72小时-7天内1072例（29.9%），8-14天内416例（11.6%），14天以上92例（2.6%）。女性更早进入手术室（X2(3) = 10.402,p = 0.015），更少的合病(X2(12) = 95.723,p=65（OR 1.565, OR 5.929,p）结论：尽管有国际指导，在爱尔兰，超过一半的急性胆囊炎急诊胆囊切除术在72小时内完成。延长“进入手术室的时间”与各种措施的结果逐步恶化有关。
{"title":"The effect of timing of emergency cholecystectomy for acute cholecystitis on peri-operative outcomes: A national registry-based study","authors":"John David Kehoe, Robert O'Connell, Eimear Linehan, Niall Hardy, Ben Creavin, Tamara Gall, Gerry McEntee, John Conneely","doi":"10.1016/j.surge.2025.06.004","DOIUrl":"10.1016/j.surge.2025.06.004","url":null,"abstract":"<div><h3>Introduction</h3><div>A selection of international guidelines suggest that emergency cholecystectomy<span> within 72 h of admission is the treatment of choice for acute cholecystitis<span>. The aim of this study was to analyse the interval from presentation to operative intervention for acute cholecystitis in Ireland and its impact on peri-operative outcomes.</span></span></div></div><div><h3>Methods</h3><div>This was a national retrospective observational study of all patients that underwent an emergency cholecystectomy for acute cholecystitis in Ireland between January 2017 and July 2023. Data collected included: demographics, co-morbidities, length of stay, operative approach, post-operative interventions, in-patient mortality, and readmissions. Subjects were stratified based on time from presentation to theatre and outcomes were compared between groups.</div></div><div><h3>Results</h3><div>3585 patients underwent an emergency cholecystectomy for acute cholecystitis–2005(55.9 %) within 72 h of admission, 1072(29.9 %) within 72 hours-7 days, 416(11.6 %) within 8–14 days and 92(2.6 %) beyond 14 days. Earlier progression to theatre was predicted by female sex (X<sup>2</sup>(3) = 10.402,p = 0.015), less co-morbidities (X<sup>2</sup>(12) = 95.723,p=<0.001), and younger age (H(3) = 92.591,p=<0.001).</div><div><span>On logistic regression, age >65(OR 1.565,p < 0.001), male sex(OR 1.348,p = 0.002), increasing co-morbidities(OR 1.586,p = 0.009) and increased “time to theatre”(72hrs-7days(OR 1.616,p < 0.001), 8–14days(OR 3.84,p < 0.001), >14days(OR 5.929,p < 0.001)) were risk factors for a composite of </span>adverse outcomes<span> (mortality, 30-day readmission, post-operative ERCP/IR drain, conversion to open, CBD injury). Subgroup analysis of the <72 h group displayed no difference in outcome.</span></div></div><div><h3>Conclusion</h3><div>Despite international guidance, just over half of emergency cholecystectomies for acute cholecystitis are performed within 72 h in Ireland. Prolonging “time to theatre” is associated with a stepwise deterioration in outcomes across a wide variety of measures.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 5","pages":"Pages 301-305"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-08DOI: 10.1016/j.surge.2025.07.003
Floortje Huizing , Vincent Q. Sier , Annelot D. Sark , Heleen S. Snijders , Joost R. van der Vorst , Roderick F. Schmitz , Abbey Schepers , Joris J. Blok , Future Surgeon Initiative
Background and purpose
Intergenerational differences in surgery create both challenges and opportunities. While differening perspectives and expectations may deter younger generations from pursuing surgical careers, it is crucial to balance these with the core values that define the surgical profession. This narrative review was conducted to better understand how the profession needs to evolve.
Methods
A structured literature search on generational changes in surgery was conducted using PubMed and Google Scholar. Relevant search terms were employed, covering (i) surgeons/surgery, (ii) generation/cohort and (ii) culture/identity/behaviour. After independent title and abstract screening by three authors, consensus was reached to include relevant studies published in English up to November 2023.
Main findings
Full-text evaluation led to an inclusion of 50 studies, reviewed for returning themes. Identified themes included: generations (n = 9), work engagement (n = 8), work-life balance (n = 7), training and education (n = 4) and attractiveness of the profession (n = 8). An additional 14 relevant studies were included based on reference lists and external sources.
Conclusions
This review summarizes key factors contributing to surgical well-being and generational dynamics. Awareness of these factors is increasing. While generational differences exist, many distinctions may be attributed to life phases, lifestyles or systemic changes in the past decades. Addressing these topics daily can foster intergenerational dialogue and a supportive environment for future surgeons.
{"title":"Bridging generational gaps in Surgery: A narrative review on values, well-being, and training preferences","authors":"Floortje Huizing , Vincent Q. Sier , Annelot D. Sark , Heleen S. Snijders , Joost R. van der Vorst , Roderick F. Schmitz , Abbey Schepers , Joris J. Blok , Future Surgeon Initiative","doi":"10.1016/j.surge.2025.07.003","DOIUrl":"10.1016/j.surge.2025.07.003","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Intergenerational differences in surgery create both challenges and opportunities. While differening perspectives and expectations may deter younger generations from pursuing surgical careers, it is crucial to balance these with the core values that define the surgical profession. This narrative review was conducted to better understand how the profession needs to evolve.</div></div><div><h3>Methods</h3><div>A structured literature search on generational changes in surgery was conducted using PubMed and Google Scholar. Relevant search terms were employed, covering (i) surgeons/surgery, (ii) generation/cohort and (ii) culture/identity/behaviour. After independent title and abstract screening by three authors, consensus was reached to include relevant studies published in English up to November 2023.</div></div><div><h3>Main findings</h3><div>Full-text evaluation led to an inclusion of 50 studies, reviewed for returning themes. Identified themes included: generations (n = 9), work engagement (n = 8), work-life balance (n = 7), training and education (n = 4) and attractiveness of the profession (n = 8). An additional 14 relevant studies were included based on reference lists and external sources.</div></div><div><h3>Conclusions</h3><div>This review summarizes key factors contributing to surgical well-being and generational dynamics. Awareness of these factors is increasing. While generational differences exist, many distinctions may be attributed to life phases, lifestyles or systemic changes in the past decades. Addressing these topics daily can foster intergenerational dialogue and a supportive environment for future surgeons.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"23 6","pages":"Pages 333-341"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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